Burns's obstetrical works /

"Originally published as distinct works." - Advertisement, by the American publishers.

The Registrar-General's statistical review of England and Wales.

Issues for 1921-1949, 1951 called New annual series, no. 1-23, 31.

The gates of hell ajar,

Mode of access: Internet.

Critical relationship between sodium valproate dose and human teratogenicity: results of the Australian register of anti-epileptic drugs in pregnancy

To compare the incidence of foetal malformations (FMs) in pregnant women with epilepsy treated with different anti-epileptic drugs (AED) and doses, and the influence of seizures, family and personal history, and environmental factors. A prospective, observational, community-based cohort study. Methods. A voluntary, Australia-wide, telephone-interview-based register prospectively enrolling three groups of pregnant women: taking AEDs for epilepsy; with epilepsy not taking AEDs; taking AEDs for a non-epileptic indication. Four hundred and fifty eligible women were enrolled over 40 months. Three hundred and ninety six pregnancies had been completed, with 7 sets of twins, for a total of 403 pregnancy outcomes. Results. 354 (87.8%) pregnancy outcomes resulted in a healthy live birth, 26 (6.5%) had a FM, 4 (1%) a death in utero, 1 (0.2%) a premature labour with stillbirth, 14 (3.5%) a spontaneous abortion and 4 lost to follow-up. The FM rate was greater in pregnancies exposed to sodium valproate (VPA) in the first trimester (116.0%) compared with those exposed to all other AEDs (16.0% vs. 2.4%, P < 0.01) or no AEDs (16.0% vs. 3.1 %, P < 0.01). The mean daily dose of VPA taken in pregnancy with FMs was significantly greater than in those without (11975 vs: 1128 mg, P < 0.01). The incidence of FM with VPA doses greater than or equal to 1100 mg was 30.2% vs. 3.2% with doses < 1100 mg (P < 0.01). Conclusions. There is a dose-effect relationship for FM and exposure to VPA during the first trimester of pregnancy, with higher doses of VPA associated with a significantly greater risk than with lower doses or with other AEDs. These results highlight the need to limit, where possible, the dose of VPA in pregnancy. (C) 2004 Elsevier Ltd. All rights reserved.

Increasing male involvement in family planning decision making: trial of a social-cognitive intervention in rural Vietnam

We tested a social-cognitive intervention to influence contraceptive practices among men living in rural communes in Vietnam. It was predicted that participants who received a stage-targeted program based on the Transtheoretical Model (TTM) would report positive movement in their stage of motivational readiness for their wife to use an intrauterine device (IUD) compared to those in a control condition. A quasi-experimental design was used, where the primary unit for allocation was villages. Villages were allocated randomly to a control condition or to two rounds of intervention with stage-targeted letters and interpersonal counseling. There were 651 eligible married men in the 12 villages chosen. A significant positive movement in men's stage of readiness for IUD use by their wife occurred in the intervention group, with a decrease in the proportions in the precontemplation stage from 28.6 to 20.2% and an increase in action/maintenance from 59.8 to 74.4% (P < 0.05). There were no significant changes in the control group. Compared to the control group, the intervention group showed higher pros, lower cons and higher self-efficacy for IUD use by their wife as a contraceptive method (P < 0.05). Interventions based on social-cognitive theory can increase men's involvement in IUD use in rural Vietnam and should assist in reducing future rates of unwanted pregnancy.

Predictors of men's acceptance of modern contraceptive practice: Study in rural Vietnam

Studies have shown family planning adoption is likely to be more effective for women when men are actively involved. The transtheoretical model of behavior change was used to examine men's involvement in general contraception and intrauterine device (IUD) use by their wives. The study was carried out in rural Vietnam with 651 eligible participants. Cons of IUD use for men in precontemplation and contemplation/preparation were significantly higher than those in the action/maintenance stages, whereas the reverse was true for pros of IUD. The self-efficacy for convincing wife to have IUD in precontemplation was significantly lower than for those in higher stages. Women's education and ages, spontaneous recall of modem contraceptive method, cons for IUD, and self-efficacy for contraception and for convincing wives to get IUD inserted (or continue use) were significant predictors of men's readiness to accept IUD. Interventions are targeted to reduce cons and increase self-efficacy for IUD use.

Caffeine, cognition, and persuasion: Evidence for caffeine increasing the systematic processing of persuasive messages

Caffeine is known to increase arousal, attention, and information processing-all factors implicated in facilitating persuasion. In a standard attitude-change paradigm, participants consumed an orange-juice drink that either contained caffeine (3.5 mg/kg body weight) or did not (placebo) prior to reading a counterattitudinal communication (anti-voluntary euthanasia). Participants then completed a thought-listing task and a number of attitude scales. The first experiment showed that those who consumed caffeine showed greater agreement with the communication (direct attitude: voluntary euthanasia) and on an issue related to, but not contained in, the communication (indirect attitude: abortion). The order in which direct and indirect attitudes were measured did not affect the results. A second experiment manipulated the quality of the arguments in the message (strong vs. weak) to determine whether systematic processing had occurred. There was evidence that systematic processing occurred in both drink conditions, but was greater for those who had consumed caffeine. In both experiments, the amount of message-congruent thinking mediated persuasion. These results show that caffeine can increase the extent to which people systematically process and are influenced by a persuasive communication.

The effects of caffeine consumption on direct and indirect majority and minority influence

A study is reported that examines the effect of caffeine consumption on majority and minority influence. In a double blind procedure, 72 participants consumed an orange drink, which either contained caffeine (3.5mg per kilogram of body weight) or did not (placebo). After a 40-minute delay, participants read a counter-attitudinal message (antivoluntary euthanasia) endorsed by either a numerical majority or minority. Both direct (message issue, i.e., voluntary euthanasia) and indirect (message issue-related, i.e., abortion) change was assessed by attitude scales completed before and after exposure to the message. In the placebo condition, the findings replicated the predictions of Moscovici's (1980) conversion theory; namely, majorities leading to compliance (direct influence) and minorities leading to conversion (indirect influence). When participants had consumed caffeine, majorities not only led to more direct influence than in the placebo condition but also to indirect influence. Minorities, by contrast, had no impact on either level of influence. The results suggest that moderate levels of caffeine increase systematic processing of the message but the consequences of this vary for each source. When the source is a majority there was increased indirect influence while for a minority there was decreased indirect influence. The results show the need to understand how contextual factors can affect social influence processes.

PELO SAGRADO DIREITO DE DECIDIR: A CONTRIBUIÇÃO DE CATÓLICAS PELO DIREITO DE DECIDIR NAS DISCUSSÕES SOBRE LAICIDADE, DIREITOS REPRODUTIVOS E DESCRIMINALIZAÇÃO DO ABORTO NO BRASIL.

A presente dissertação procura apresentar uma análise sobre a relação entre política e religião numa perspectiva de gênero, com o objetivo de evidenciar de que maneira a relação entre Igreja e Estado legitima as desigualdades sexuais presentes na sociedade brasileira. Essa análise procura demonstrar/ressaltar como as práticas políticas do país tem prejudicado a possibilidade de ampliação dos direitos reprodutivos devido à influência histórica da cosmovisão católica no que se refere à moral sexual. Essa influência religiosa, no que diz respeito à ampliação das políticas públicas para a reprodução, afeta negativamente a vida das mulheres, principalmente as mulheres pobres e fere o caráter laico do Estado brasileiro. Neste sentido, a dissertação, além de evidenciar esta situação, procura apresentar no trabalho da organização Católicas pelo Direito de Decidir, uma possibilidade de atuação política e teórica, que se posiciona contra o discurso radical sobre o aborto advindo da hierarquia da Igreja Católica e que é compartilhado por setores fundamentalistas de outras denominações cristãs. Católicas pelo Direito de Decidir têm como objetivo a construção de um discurso ético-teológico feminista de apoio a descriminalização do aborto e pelo direito das mulheres decidirem sobre a sua vida reprodutiva sem sofrerem nenhum tipo de impedimento ou discriminação por suas decisões.

ADOLESCÊNCIA E SEXUALIDADE: UMA ANÁLISE DO DISCURSO DA MÍDIA SEGMENTADA

Esse estudo propõe uma reflexão sobre o tratamento dado ao tema sexualidade nas revistas Atrevida e Capricho, destinadas a adolescentes. Nosso corpus constitui-se de 62 edições, veiculadas nos anos de 1996 e 2006. No contexto social, há uma preocupação crescente com as questões de saúde sexual e reprodutiva, gravidez precoce e aborto inseguro entre os menores de 18 anos. O objetivo do presente trabalho é, portanto, verificar qual é a contribuição dessas revistas adolescentes no que diz respeito à informação e ao esclarecimento sobre sexualidade e indicar se, em virtude do tempo, houve uma variação na forma de tratar o assunto. Também é nosso interesse verificar de que maneira os discursos sobre sexualidade são construídos nestes espaços e, para tanto, utilizamos a análise do discurso como eixo teórico-metodológico. Concluímos que, embora o assunto tenha espaço nas duas revistas, sua cobertura é restrita e não há freqüência ou continuidade nos temas abordados. Nota-se um esforço em esclarecer sobre sexualidade e disseminar comportamentos seguros, porém, a cobertura do temas é feita, em grande parte das vezes, de modo bastante superficial e seguindo padrões de abordagem que não são capazes de abranger o tema em toda a sua complexidade.(AU)

EDUCAÇÃO, CIÊNCIA E DOUTRINAS RELIGIOSAS: RELAÇÕES E REPERCUSSÕES PARA AS ESCOLAS PÚBLICAS

O presente estudo investiga repercussões existentes, para as escolas públicas, entre os conteúdos científicos curriculares ministrados e as orientações doutrinárias de denominações religiosas cristãs. Estes impactos ocorrem principalmente em relação a duas temáticas: 1) direitos sexuais e reprodutivos e questões de gênero; 2) criacionismo versus evolucionismo. A metodologia utilizada consistiu em uma pesquisa qualitativa, documental, composta também pela análise de conteúdo e por uma revisão de literatura. A pesquisa documental foi realizada por meio do site de buscas Google, no período de agosto de 2011 a setembro de 2014. Após o levantamento de inúmeros sites e blogs, foram selecionados 28 textos, publicados em 11 sites e 5 blogs de 9 denominações religiosas cristãs: Assembleia de Deus, Igreja Adventista do Sétimo Dia, Igreja Universal do Reino de Deus, Testemunhas de Jeová, Igreja Evangélica de Confissão Luterana no Brasil (IECLB), Igreja Batista Lagoinha, Igreja Evangélica Cristã, Igreja Presbiteriana do Brasil e Igreja Católica Apostólica Romana. O resultado da análise destes textos possibilitou uma visão acerca de pontos de vista e relações doutrinárias em relação às temáticas pesquisadas. As denominações religiosas cristãs que abordaram a temática do Criacionismo e do Evolucionismo apresentaram um posicionamento contrário à Teoria da Evolução de Charles Darwin, pois alegaram que as teorias científicas acerca da origem do mundo e das espécies são conflitantes com o Criacionismo, ou seja, a versão do livro de Gênesis, presente na Bíblia. Em relação aos direitos sexuais e reprodutivos e questões de gêneros, os textos analisados apresentaram, em sua maioria, um posicionamento contrário à homossexualidade, anticoncepção, realização do aborto e de relações sexuais antes do casamento. Concluiu-se que a presença de conteúdos religiosos no currículo e no cotidiano escolar das escolas públicas pode gerar conflitos com os conteúdos científicos propostos pelo Ministério da Educação, comprometendo a qualidade de ensino.

EFICÁCIA ADAPTATIVA DE MULHERES, COM HISTÓRIA DE ABORTAMENTO, PACIENTES DE UM AMBULATÓRIO DE REPRODUÇÃO HUMANA

O objetivo principal desta pesquisa foi investigar eficácia adaptativa de mulheres que vivenciaram abortamento e freqüentam um Ambulatório de Reprodução Humana. Os objetivos específicos foram: avaliar a eficácia adaptativa; identificar as repercussões psicológicas destes abortamentos. O instrumento utilizado foi a entrevista clínica preventiva- EDAO (Escala Diagnóstica Adaptativa Operacionalizada). Participaram do estudo 10 mulheres que freqüentavam um Ambulatório especializado em Reprodução Assistida. Os resultados deste trabalho revelaram que o abortamento teve uma repercussão importante no mundo interno e externo das mulheres que participaram desta pesquisa. Os abortamentos provocados e espontâneos são relatados com intensa angústia, tristeza, culpa e sentimentos de inferioridade. No caso do abortamento espontâneo predomina o medo de perder novamente, e no caso de aborto provocado, predominam sentimentos de culpa. As pacientes, de forma geral, apresentam intensa angústia e expectativa em relação ao tratamento; porém a experiência do tratamento para engravidar, somado à experiência anterior de abortamento, intensificou as angústias dessas mulheres. A psicoterapia breve operacionalizada pode auxiliar a paciente a lidar de forma mais adequada com os conflitos vividos no tratamento. E no caso específico deste estudo, auxiliar também a elaboração das perdas anteriores. Este estudo trouxe questionamentos relevantes sobre a vivência emocional de mulheres que buscam tratamento para engravidar e já sofreram abortamento espontâneo ou provocado. A realização de outros estudos é fundamental para maior compreensão do tema.(AU)

Caffeine, cognition, and persuasion:evidence for caffeine increasing the systematic processing of persuasive messages

Caffeine is known to increase arousal, attention, and information processing–all factors implicated in facilitating persuasion. In a standard attitude-change paradigm, participants consumed an orange-juice drink that either contained caffeine (3.5 mg/kg body weight) or did not (placebo) prior to reading a counterattitudinal communication (anti-voluntary euthanasia). Participants then completed a thought-listing task and a number of attitude scales. The first experiment showed that those who consumed caffeine showed greater agreement with the communication (direct attitude: voluntary euthanasia) and on an issue related to, but not contained in, the communication (indirect attitude: abortion). The order in which direct and indirect attitudes were measured did not affect the results. A second experiment manipulated the quality of the arguments in the message (strong vs. weak) to determine whether systematic processing had occurred. There was evidence that systematic processing occurred in both drink conditions, but was greater for those who had consumed caffeine. In both experiments, the amount of message-congruent thinking mediated persuasion. These results show that caffeine can increase the extent to which people systematically process and arc influenced by a persuasive communication.

The effects of caffeine consumption on direct and indirect majority and minority influence

A study is reported that examines the effect of caffeine consumption on majority and minority influence. In a double blind procedure, 72 participants consumed an orange drink, which either contained caffeine (3.5mg per kilogram of body weight) or did not (placebo). After a 40-minute delay, participants read a counter-attitudinal message (antivoluntary euthanasia) endorsed by either a numerical majority or minority. Both direct (message issue, i.e., voluntary euthanasia) and indirect (message issue-related, i.e., abortion) change was assessed by attitude scales completed before and after exposure to the message. In the placebo condition, the findings replicated the predictions of Moscovici's (1980) conversion theory; namely, majorities leading to compliance (direct influence) and minorities leading to conversion (indirect influence). When participants had consumed caffeine, majorities not only led to more direct influence than in the placebo condition but also to indirect influence. Minorities, by contrast, had no impact on either level of influence. The results suggest that moderate levels of caffeine increase systematic processing of the message but the consequences of this vary for each source. When the source is a majority there was increased indirect influence while for a minority there was decreased indirect influence. The results show the need to understand how contextual factors can affect social influence processes.

Linking herbivory and pollination: Costs and selection implications in Centrosema virginianum Bentham (Fabaceae: Papilionoideae)

This research first evaluated levels and type of herbivory experienced by Centrosema virginianum plants in their native habitat and how florivory affected the pollinator activity. I found that populations of C. virginianum in two pine rockland habitat fragments experienced higher herbivory levels (15% and 22%) compared with plants in the protected study site (8.6%). I found that bees (Hymenoptera) pollinated butterfly pea. Furthermore, I found that florivores had a negative effect in the pollinators visitation rates and therefore in the seed set of the population. ^ I then conducted a study using a greenhouse population of C. virginianum. I applied artificial herbivory treatments: control, mild herbivory and severe herbivory. Flower size, pollen produced, ovules produced and seeds produced were negatively affected by herbivory. I did not find difference in nectar volume and quality by flowers among treatments. Surprisingly, severely damaged plants produced flowers with larger pollen than those from mildly damaged and undamaged plants. Results showed that plants tolerated mild and severe herbivory with 6% and 17% reduction of total fitness components, respectively. However, the investment of resources was not equisexual. ^ A comparison in the ability of siring seeds between large and small pollen was necessary to establish the biological consequence of size in pollen performance. I found that fruits produced an average of 18.7 ± 1.52 and 17.7 ± 1.50 from large and small pollen fertilization respectively. These findings supported a pollen number-size trade-off in plants under severe herbivory treatments. As far as I know, this result has not previously been reported. ^ Lastly, I tested how herbivory influenced seed abortion patterns in plants, examining how resources are allocated on different regions within fruits under artificial herbivory treatments. I found that self-fertilized fruits had greater seed abortion rates than cross-fertilized fruits. The proportion of seeds aborted was lower in the middle regions of the fruits in cross-fertilized fruits, producing more vigorous progeny. Self-fertilized fruits did not show patterns of seedling vigor. I also found that early abortion was higher closer to the peduncular end of the fruits. Position of seeds within fruits could be important in the seed dispersion mechanism characteristic of this species. ^